Dissociative and conversion disorder, unspecified
ICD-10 F44.9 is a billable code used to indicate a diagnosis of dissociative and conversion disorder, unspecified.
Dissociative and conversion disorders are characterized by a disruption in the normal integration of consciousness, memory, identity, or perception of the environment. These disorders can manifest as symptoms that affect motor or sensory functions, which cannot be explained by medical conditions. Patients may experience episodes of dissociation, where they feel detached from their thoughts, feelings, or sense of identity. Conversion disorder specifically refers to neurological symptoms that arise without a neurological basis, often triggered by psychological stressors. The unspecified designation indicates that the clinician has not provided enough detail to classify the disorder further. Symptoms can include paralysis, tremors, or non-epileptic seizures, and may co-occur with anxiety disorders, PTSD, or OCD. Treatment often involves psychotherapy, cognitive behavioral therapy, and anxiety management techniques to address underlying psychological issues and improve functioning.
Detailed patient history, symptom description, and treatment plan.
Patients presenting with unexplained neurological symptoms or dissociative episodes.
Ensure thorough documentation of psychological assessments and any co-occurring disorders.
Comprehensive neurological examination and exclusion of organic causes.
Patients with conversion symptoms that mimic neurological disorders.
Document rationale for ruling out neurological conditions to support the diagnosis.
Used for ongoing therapy for patients with dissociative symptoms.
Document the duration of the session and the focus of therapy.
Psychiatrists should ensure that the therapy aligns with the diagnosis.
Common symptoms include memory loss, paralysis, non-epileptic seizures, and feelings of detachment from self or surroundings. These symptoms often arise in response to psychological stressors.
